在儿童和青少年麻醉期间的液体和身体成分:试点研究
Céline Betti1, Ilaria Busi1, Cinzia Cortesi1
1Pediatric Institute of Southern Switzerland, Ospedale San Giovanni, Ente Ospedaliero Cantonale, Bellinzona, Switzerland.
European journal of pediatrics
|February 26, 2024
概括
在接受麻醉的儿童中,常规的手术内液体给药会导致显著的液体积累. 这表明,低风险儿童可能不需要术前静脉注射液体,正如身体组成监测 (BCM) 测量所表明的那样.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 流体生理学 流体生理学
- 生物阻抗光谱学 生物阻抗光谱学
背景情况:
- 接受手术的儿童经常接受常规静脉注射液体.
- 生物阻抗光谱 (BCM) 已被验证用于评估儿童的流体状况.
- 在科中,BCM用于控制流体过载.
研究的目的:
- 在麻醉前后评估细胞内和细胞外液体体积的变化.
- 为了确定这些体积变化是否可以优化手术内流体的管理.
- 评估接受低风险手术的儿童的流体状况变化.
主要方法:
- 使用身体成分监测器 (BCM) 来测量液体体积.
- 在对健康儿童和青少年进行全身麻醉前后进行测量.
- 包括100名年龄为7.0 (4.8-11) 岁的参与者.
主要成果:
- 在外科手术期间,全体水分增加了182mL/m2,细胞外水分增加了169mL/m2.
- 流体体积变化与注射的流体量相关.
- 细胞内含水量没有显著变化.
结论:
- 在低风险儿童中,常规的手术内液体注射会导致显著的液体积累.
- 没有重大健康问题的儿童可能不需要术前静脉输液,如果在麻醉前允许使用透明液体.
- 在未来的研究中,BCM测量显示了指导手术内流体治疗的潜力.
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